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Major joint replacement w/o MCC

MS-DRG 470 · negotiated-rate distribution across hospitals in NM

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Hospitals
2
Min
$11,168
Median
$17,636
Max
$17,636
Range multiplier
1.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield27$11,168$21,372$21,3721.9×
Aetna24$84.2$11,785$17,636209.5×
Cigna23$11,168$14,615$17,6361.6×
Molina23$17,813$27,877$48,1472.7×
presbyterian13$14,190$14,190$17,6361.2×
Humana22$11,168$14,843$18,5181.7×
UnitedHealthcare22$11,168$14,843$18,5181.7×
amgp community care of nm inc._avg_allowable11$12,382$12,382$12,3821.0×
amgp community care of nm inc._max_allowable11$12,382$12,382$12,3821.0×
amgp community care of nm inc._min_allowable11$12,382$12,382$12,3821.0×
baylor scott and white11$17,636$17,636$17,6361.0×
capstar11$21,261$21,261$21,2611.0×
insurance management services11$90$90$901.0×
max_allowable_83511$33,096$33,096$33,0961.0×
Medicare11$11,168$11,168$11,1681.0×
Meritain Health11$11,168$11,168$11,1681.0×
min_allowable_83511$38.83$38.83$38.831.0×
Multiplan11$80$80$801.0×
new mexico health connections inc._avg_allowable11$11,168$11,168$11,1681.0×
new mexico health connections inc._max_allowable11$11,168$11,168$11,1681.0×
new mexico health connections inc._min_allowable11$11,168$11,168$11,1681.0×
new mexico health connections_avg_allowable11$11,168$11,168$11,1681.0×
new mexico health connections_max_allowable11$11,168$11,168$11,1681.0×
new mexico health connections_min_allowable11$11,168$11,168$11,1681.0×
presbyterian care services aso_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian care services aso_max_allowable11$11,168$11,168$11,1681.0×
presbyterian care services aso_min_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan centennial care unm health sciences center network_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan centennial care unm health sciences center network_max_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan centennial care unm health sciences center network_min_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan centennial care_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan centennial care_max_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan centennial care_min_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc not assigned_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc not assigned_max_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc not assigned_min_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc unm health sciences center network_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc unm health sciences center network_max_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc unm health sciences center network_min_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc_max_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan inc_min_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan level funded unm health sciences center network_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan level funded unm health sciences center network_max_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan level funded unm health sciences center network_min_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan level funded_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan level funded_max_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan level funded_min_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan_avg_allowable11$11,168$11,168$11,1681.0×
presbyterian health plan_max_allowable11$11,168$11,168$11,1681.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
COVENANT HEALTH HOBBS HOSPITALHOBBSNM14$80$17,636$48,147
UNM SANDOVAL REGIONAL MEDICAL CENTERRIO RANCHONM67$35,224$35,224$38.83$11,168$350,165

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.